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NPI 1013948058

NPI 1013948058 : DAVID BEEKS M.D. : OREGON, OH

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General NPI Number Information
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    NPI Number           |    1013948058
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID BEEKS M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/06/2006
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    Last Update Date     |    04/21/2015
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Provider Practice Location Address
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    Address Line         |    2702 NAVARRE AVE SUITE 102
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    City                 |    OREGON
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    State                |    OH
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    Zip                  |    43616-3223
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    Country              |    US
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    Telephone            |    419-696-3131
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    Fax                  |    419-696-7015
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Provider Business Mailing Address
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    Address Line         |    2702 NAVARRE AVE SUITE 102
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    City                 |    OREGON
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    State                |    OH
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    Zip                  |    43616-3223
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    Country              |    US
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    Telephone            |    419-696-3131
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    MD35201
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    207XS0117X
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    Taxonomy Name        |    Orthopaedic Surgery of the Spine Physician
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    License Number       |    35.089259
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    License Number State |    OH
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